Physiotherapy Theory and Practice最新文献

{"title":"Clinical trial registry: a necessity beyond journal requirements.","authors":"Morey J Kolber, Cheryl J Hill","doi":"10.1080/09593985.2024.2418200","DOIUrl":"10.1080/09593985.2024.2418200","url":null,"abstract":"","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2743-2744"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of respiratory functions, muscle strength, and physical activity among children with primary ciliary dyskinesia with and without Kartagener's syndrome and healthy controls.","authors":"Merve Fırat, Şeyma Mutlu, Betül Yoleri, Meral Boşnak Güçlü","doi":"10.1080/09593985.2023.2286526","DOIUrl":"10.1080/09593985.2023.2286526","url":null,"abstract":"<p><strong>Introduction: </strong>Kartagener's syndrome (KS), consisting of bronchiectasis, situs inversus totalis, and sinusitis, is a subtype of primary ciliary dyskinesia (PCD). The presence of KS may affect respiratory and physical functions.</p><p><strong>Purpose: </strong>This study aimed to compare respiratory functions, exercise capacity, muscle strength, and physical activity levels among children with PCD with/without KS and healthy peers.</p><p><strong>Methods: </strong>Fifteen patients with KS, 23 with PCD without KS, and 27 controls were compared. Pulmonary function, functional exercise capacity (6-minute walk test - 6MWT), maximal inspiratory, expiratory (MIP, MEP), and skeletal muscle strength, inspiratory muscle endurance (IME), and physical activity level were evaluated.</p><p><strong>Results: </strong>The forced expiratory volume in one second (FEV₁) % (<i>p</i> = .009), forced expiratory flow from 25%-75% (FEF_25-75%) % (<i>p</i> = .001), MIP (<i>p</i> = .034), MEP (<i>p</i> = .003), 6MWT distance (<i>p</i> = .001), and daily steps (<i>p</i> = .034) were significantly different among the groups. Quadriceps femoris (QF) muscle strength and IME were similar in groups (p ˃ .05). FEV₁% (<i>p</i> = .002), FEF_25-75% % (<i>p</i> = .001), MIP (<i>p</i> = .027), MEP (<i>p</i> = .001), and 6MWT distance (<i>p</i> = .003) in patients with KS; 6MWT distance (<i>p</i> = .003) in patients with PCD without KS was significantly lower than controls.</p><p><strong>Conclusion: </strong>The presence of KS affects pulmonary function, respiratory muscle strength, and physical activity more. Exercise capacity and physical activity levels are decreased, inspiratory muscle endurance and QF muscle strength are preserved in patients with KS and PCD without KS. Kartagener's syndrome further impairs pulmonary and extrapulmonary outcomes; the reasons should be investigated, and the necessity of rehabilitation approaches that will prevent deterioration come to the fore.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2745-2753"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of pelvic tilt control using visual biofeedback on gluteus maximus, multifidus, and hamstring activities during three different bridge exercises.","authors":"Tae-Jin Jang, In-Cheol Jeon","doi":"10.1080/09593985.2023.2297001","DOIUrl":"10.1080/09593985.2023.2297001","url":null,"abstract":"<p><strong>Background: </strong>The effects of pelvic tilt control using visual biofeedback on gluteus maximus (GM), multifidus (MF), and hamstring (HAM) muscle activities during bridge exercises involving anterior pelvic tilt (APT), neutral pelvic tilt (NPT), and posterior pelvic tilt (PPT) were investigated.</p><p><strong>Methods: </strong>Twenty-five healthy participants were included (mean age, 24.6 ± 1.9 years). Visual biofeedback was used for the participants to self-control pelvic tilt during the bridge exercises. Pelvic tilt controls were performed in a random order (APT vs. NPT vs. PPT) following 30 minutes education program. GM, MF, and HAM muscle activities were measured by surface electromyography. One-way repeated analysis of variance and Bonferroni post hoc test were used.</p><p><strong>Result: </strong>GM and MF muscle activities significantly differed among the different pelvic tilting controls (APT vs. NPT vs. PPT) (<i>p</i> < .017). GM muscle activity during the exercise involving PPT was significantly higher than that involving APT and NPT (<i>p</i> < .017). In contrast, MF muscle activity during the exercise involving PPT was significantly lower than that involving APT (<i>p</i> < .017). In addition, the GM/Right MF, GM/Left MF, and GM/HAM muscle activity ratios during the exercise involving PPT were significantly greater than those involving APT and NPT (<i>p</i> < .017).</p><p><strong>Conclusions: </strong>The bridge exercise involving PPT using visual biofeedback can be recommended as a home exercise to selectively improve the muscle activity of the GM and the muscle activity ratio of the GM/HAM and GM/MF. This information may be valuable for clinicians seeking exercise programs to target specific muscles effectively.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2795-2804"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the workplace and workforce intentions of early career physiotherapists in Australia.","authors":"Roma Forbes, Sarah Wilesmith, Alana Dinsdale, Calum Neish, Jonathan Wong, Damian McClymont, Andric Lu","doi":"10.1080/09593985.2023.2286333","DOIUrl":"10.1080/09593985.2023.2286333","url":null,"abstract":"<p><strong>Background: </strong>Previous research has indicated significant concerns regarding attrition of early career physiotherapists in Australia. Despite the importance of retaining skilled and experienced professionals within the profession, the workplace and workforce intentions of early career physiotherapists remain relatively unexplored.</p><p><strong>Purpose: </strong>The aim of this study was to investigate and explore factors influencing the workplace and workforce intentions of early career physiotherapists in Australia.</p><p><strong>Methods: </strong>The Turnover Intention Theory was used to guide a whole-of-person qualitative exploration through semi-structured interviews with 14 participants. Transcribed interview data was subjected to reflexive thematic analysis.</p><p><strong>Results: </strong>Four themes were generated, constructed as questions to represent participants' temporary holding of intentions: 1) What drives me?; 2) Do my expectations align?; 3) Do my values align?; and 4) What does the future hold?</p><p><strong>Conclusion: </strong>Early career physiotherapists' perspectives encompass diverse and varied experiences that reflect an alignment, or in some cases a misalignment, of the expectations, values and resulting practices of becoming and being a physiotherapist. Early career physiotherapists experience a range of challenges within their workplaces, including significant experiences of stress, yet they express an underlying commitment to the wider profession.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2851-2864"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate effects of percutaneous electrical nerve stimulation in patients with lateral elbow pain.","authors":"Daniel Albert-Lucena, Marcos José Navarro-Santana, Ibai López-de-Uralde-Villanueva, María José Díaz-Arribas, Juan Antonio Valera-Calero, César Fernández-de-Las-Peñas, Gustavo Plaza-Manzano","doi":"10.1080/09593985.2023.2296063","DOIUrl":"10.1080/09593985.2023.2296063","url":null,"abstract":"<p><strong>Introduction: </strong>Ultrasound guided-percutaneous electrical nerve stimulation appears to be effective in the treatment of chronic musculoskeletal pain.</p><p><strong>Objective: </strong>To investigate the immediate effects of one session of percutaneous electrical nerve stimulation on the radial nerve in patients with lateral elbow pain.</p><p><strong>Methods: </strong>A randomized clinical trial was conducted. Sixty patients with chronic lateral elbow pain were allocated into real-percutaneous electrical nerve stimulation (<i>n</i> = 30) or sham-percutaneous electrical nerve stimulation (<i>n</i> = 30) where the patients received one-single session of the real or sham percutaneous stimulation on the radial nerve, respectively. Pressure pain thresholds, pain intensity, pain-free grip strength, and the self-perceived improvement were evaluated after the intervention.</p><p><strong>Results: </strong>Significant differences between groups for pain intensity (-11.55, 95% CI -21.79 to -1.30, <i>p</i> < .028), but not for pressure pain threshold or pain-free grip strength, were found. Patients receiving real-percutaneous stimulation had significant improvement in pain-free grip strength on the treated side. The proportion of individuals reporting moderate to large self-perceived improvement (≥4) was significantly higher (<i>p</i> = .026) after real-percutaneous stimulation than after sham-percutaneous stimulation.</p><p><strong>Conclusion: </strong>A single session of real-percutaneous electrical nerve stimulation targeting the radial nerve in subjects with lateral elbow pain decreased pain intensity between groups and increased pain-free grip strength on the treated side but not between groups.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2783-2794"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reaching for connection: a qualitative study of communication and interaction in video-based physiotherapy.","authors":"Elvira Lange, Louise Danielsson","doi":"10.1080/09593985.2023.2296574","DOIUrl":"10.1080/09593985.2023.2296574","url":null,"abstract":"<p><strong>Objective: </strong>Digital technology has become increasingly relevant in physiotherapy, but little is known about communication and interaction in video-based physiotherapy. Therefore, this study aimed to explore the experiences among patients and physiotherapists, of communication and interaction in digital, video-based physiotherapy.</p><p><strong>Methods: </strong>A qualitative interview study with a phenomenological approach was conducted. Participants were purposively recruited from primary health care clinics. Semi-structured, in-depth interviews were conducted with 10 physiotherapists and 6 patients. Interviews were recorded, transcribed, and analyzed using a phenomenological approach.</p><p><strong>Results: </strong>The analysis resulted in the overall theme Reaching for connection, which captured the central meaning of the participants' experiences. Four categories emerged from the analysis: 1) Closeness at a distance; 2) Overcoming limited bodily communication; 3) The technology as part of the meeting; and 4) Challenging the physical meeting as a norm. The results suggest that communication and interaction in digital settings differ from physical settings, but there is an ongoing adaptation process to this new paradigm.</p><p><strong>Conclusions: </strong>The results of this study show that video-based physiotherapy, while having several benefits according to both patients and physiotherapists, affects the communication in several ways. Physiotherapists need to acknowledge these limitations and seek strategies to adapt and to compensate for the reduced non-verbal elements and lack of touch. Attention to the physical room and shifting between positions (face/full figure) are suggested practical strategies, but also to practice awareness and embodied communication to improve receptivity in the interaction.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2865-2876"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the reliability and validity of the Icelandic translation of the Mini-BESTest in rehabilitation patients: an international implication for balance assessment.","authors":"Sif Gylfadottir, Solveig A Arnadottir, Selma Margret Reynisdottir, Bjartey Helgadottir, Andri Thor Sigurgeirsson, Marta Gudjonsdottir","doi":"10.1080/09593985.2023.2286635","DOIUrl":"10.1080/09593985.2023.2286635","url":null,"abstract":"<p><strong>Background: </strong>The Mini-BESTest (Balance Evaluation Systems Test) is a standardized balance evaluation tool. The psychometric properties of the Mini-BESTest are being established around the world.</p><p><strong>Purpose: </strong>This study aimed to evaluate the reliability and validity of the Icelandic translation of the Mini-BESTest.</p><p><strong>Methods: </strong>Thirty rehabilitation inpatients (16/14 women/men), with mixed diagnoses and a range of self-assessed balance, were assessed with the: Mini-BESTest on two occasions; Activities-specific Balance Confidence Scale; Berg Balance Scale; Timed Up and Go test; and 10 Meter Walk Test. Statistical analyses included the Intraclass Correlation Coefficient (ICC), standard error of measurement (SEM), Cronbach's alpha (α), Pearson's r, and the independent <i>t</i>-test.</p><p><strong>Results: </strong>Relative reliability demonstrated good test-retest (ICC_3.1 = 0.84), intra-rater reliability (ICC_3.1 = 0.86), and excellent inter-rater reliability (ICC_2.1 = 0.96). Absolute reliability (SEM) was 1.607, and internal consistency (α) was 0.80. Construct validity was supported by a high correlation between the Mini-BESTest and other standardized measures (<i>r</i> =  ±0.6-0.73). The Mini-BESTest discriminated between patients with poor versus good self-rated balance (<i>p</i> ˂ 0.001), with no floor or ceiling effects.</p><p><strong>Conclusion: </strong>The psychometric properties of the Icelandic translation of the Mini-BESTest are comparable with the original version and other translations. These results for this mixed patient group should be relevant to clinicians and researchers internationally.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2925-2934"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of transcutaneous electrical diaphragmatic stimulation in critically ill elderly patients: a randomized controlled trial.","authors":"Hebert Olímpio Júnior, Gustavo Bittencourt Camilo, Júlia Abrantes Marques, Rosemere Saldanha Xavier, Carlos Eduardo Santos, Agnaldo José Lopes","doi":"10.1080/09593985.2023.2289053","DOIUrl":"10.1080/09593985.2023.2289053","url":null,"abstract":"<p><strong>Background: </strong>Elderly patients under invasive mechanical ventilation (IMV) are more susceptible to muscle weakness. In the out-of-hospital environment, there are benefits to transcutaneous electrical diaphragmatic stimulation (TEDS), which is an easy-to-apply and low-cost technique.</p><p><strong>Objective: </strong>To evaluate the effect of TEDS on respiratory muscle strength, diaphragm thickness (DT), and IMV time in critically ill elderly patients.</p><p><strong>Methods: </strong>This was a randomized controlled trial in which patients were divided into an experimental group (EG) and a control group (CG). TEDS started 24 h after orotracheal intubation and lasted until the end of weaning. Both groups underwent the following assessments during the spontaneous breathing test after weaning from mechanical ventilation (MV): measurement of respiratory muscle strength by pressure gauge, analysis of DT by lung ultrasound, and extubation failure prevention checklist.</p><p><strong>Results: </strong>There were 23 participants in the EG and 21 in the CG. The median age was 66 (60-79) years. The mean values of the diaphragmatic thickening index in the EG and CG participants were 99.13 ± 26.75 and 66.88 ± 31.77, respectively (<i>p</i> = .001, Cohen's <i>d</i> = 1.094). The mean values of maximum inspiratory pressure in the EG and CG were 22.04 ± 3.41 and 19.34 ± 4.23 cmH₂O, respectively (<i>p</i> = .005, Cohen's <i>d</i> = 0.698). The Tobin index and the integrative weaning index were similar between groups (<i>p</i> = .584 and <i>p</i> = .102, respectively). The duration of MV in the EG and CG was 6.28 ± 2.68 and 9.21 ± 2.76 days, respectively (<i>p</i> = .001, Cohen's <i>d</i> = -1.075).</p><p><strong>Conclusion: </strong>Critically ill elderly patients receiving TEDS had shorter MV time, greater inspiratory muscle strength, and greater diaphragmatic contraction capacity according to their thickness fraction.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2754-2763"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Learning by osmosis\": the transformative social identity journey of physiotherapists developing psychologically-informed practice, a reflexive thematic analysis.","authors":"Camille Leteurtre, Chris Cocking, David Novelli","doi":"10.1080/09593985.2023.2297290","DOIUrl":"10.1080/09593985.2023.2297290","url":null,"abstract":"<p><strong>Background: </strong>Despite efforts to support physiotherapists in integrating psychosocial aspects of care to biological ones, clinical practice remains dominated by biomechanistic priorities. To facilitate change, attention and actions need to consider not only the individual level of the therapists but also the cultural and structural levels of the profession. How these multi-layered social dynamics shape practice have not previously been investigated. The Social Identity Approach (SIA) provides a relevant framework to this exploration.</p><p><strong>Aim: </strong>This study aimed to identify the social identity processes involved in the development of psychologically-informed physiotherapy (PIP) to understand how they may influence practice change.</p><p><strong>Methods: </strong>Nine semi-structured interviews were conducted with self-identified psychologically-informed physiotherapists. A Reflexive Thematic Analysis informed by SIA principles enabled to consider meaning as the product of social processes.</p><p><strong>Findings: </strong>The analysis of participants' experiences in moving from a primarily biomechanistic practice toward the integration of psychosocial aspects of health demonstrated: 1) a transformative \"mind-blowing\" identity journey; 2) a journey that is not made in isolation; and 3) where leadership matters.</p><p><strong>Conclusion: </strong>Changes in clinical practice involve dynamics at the collective level of the practice environment and of the physiotherapy profession itself, rather than solely at the individual level of clinicians. An understanding of these complex social processes at a managerial level could be important to better support leaders and clinicians in implementing PIP in clinical practice.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2877-2888"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are physiotherapists expected to be competent in digital health practice? Meta-synthesis of international physiotherapy practice competency standards.","authors":"Mark Merolli, Osman Ahmed, Karen McCreesh, Louisa Remedios, Kerryn Butler-Henderson","doi":"10.1080/09593985.2023.2299202","DOIUrl":"10.1080/09593985.2023.2299202","url":null,"abstract":"<p><strong>Background: </strong>Digital health technology is progressively transforming physiotherapy practice. Despite a maturing body of literature relating to physiotherapy digital health capability, research examining digital health physiotherapy competency standards is both lacking and lagging.</p><p><strong>Objective: </strong>Examine international professional practice competency standards for physiotherapists to identify themes common to digital health practice competency, published by international peak organizations governing physiotherapy practice.</p><p><strong>Methods: </strong>Systematic meta-synthesis of international peak organization physiotherapy practice competency standards. The study was undertaken over nine stages. Competency statements related to digital health were extracted, and further coded into resultant themes.</p><p><strong>Results: </strong>Eleven documents were analyzed. Fifty-two statements explicitly referenced digital health competency. Identified themes were as follows: 1) digital health data governance; 2) digital health data translation; and 3) digital health technologies. Where digital health-related competency statements do exist, they are skewed toward health information management activities.</p><p><strong>Conclusions: </strong>Digital health practice is currently under-represented in competency standards for physiotherapists. Workforce advancement in light of the burgeoning impact of digital health will prompt further updates to professional competency standards set by our peak organizations. This will have a flow on effect, whereby education providers (e.g. universities and other professional development providers) should consider curriculum and training that prepares individuals for digitally enabled practice.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2988-2999"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}